Melton, Laura Blackwell

Melton, Laura Blackwell is an individual health care provider with primary practice located at 101 E Wood St , Spartanburg SC 29303-3040. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Melton, Laura Blackwell can be contacted via phone (864) 560-6122.

Contact Information

Primary practice address
101 E Wood St Spartanburg SC 29303-3040
Phone: (864) 560-6122
Fax: (864) 560-6276
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 95563 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 3577 South Carolina

Profile Details

NPI number 1093983504
LBN Legal business name Melton, Laura Blackwell
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2008
Last updated Nov 18th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093983504 NPPES
South Carolina Other P00691781 RR MEDICARE
South Carolina MEDICAID AN1719 RR MEDICARE

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